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What Causes Right Abdominal Pain?

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Posted on Thu, 24 Aug 2017
Question: I have had pain on my right side of my abdomen off and on for years. Years ago they did scans and said gallbladder was ok. Now I have been having nausea, diarrhea and pain on right side. Went to outpatient clinic..they did an ultra sound on the gallbladder..radiologist came back with I have no gallbladder and that it was surgically removed...must have been aliens! Another doctor looked at it and said it has shrunk. Now what?
doctor
Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
Go for CT scan abdomen.

Detailed Answer:
Hello,
Thanks for choosing HealthcareMagic for your query.
Have gone through your details and i appreciate your concerns.
Most likely you are having chronic cholecystitis.Chronic cholecystitis is long-standing gallbladder inflammation.Damage ranges from a modest infiltrate of chronic inflammatory cells to a fibrotic, shrunken gallbladder. Due to fibrosis and shrinkage of gallbladder your doctor was not able to see it in ultrasound.Sharp, cramping, or dull pain in upper right or upper middle of right abdomen is caused by chronic cholecystitis and is often associated with nausea and vomiting.Due to recurrentinflammation of gallbldder the gallbladder is atrophied.
Ideally you should go for a CT scan of abdomen.
Ultra sound is a basic test and can miss findings.

So initially a CT scan abdomen should be done and after that if cholelycystitis is estabilished as diagnosis then go for surgical removal of gallbladder.

Follow up with reports of CT scan.

Regards!

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Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2913 Questions

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What Causes Right Abdominal Pain?

Brief Answer: Go for CT scan abdomen. Detailed Answer: Hello, Thanks for choosing HealthcareMagic for your query. Have gone through your details and i appreciate your concerns. Most likely you are having chronic cholecystitis.Chronic cholecystitis is long-standing gallbladder inflammation.Damage ranges from a modest infiltrate of chronic inflammatory cells to a fibrotic, shrunken gallbladder. Due to fibrosis and shrinkage of gallbladder your doctor was not able to see it in ultrasound.Sharp, cramping, or dull pain in upper right or upper middle of right abdomen is caused by chronic cholecystitis and is often associated with nausea and vomiting.Due to recurrentinflammation of gallbldder the gallbladder is atrophied. Ideally you should go for a CT scan of abdomen. Ultra sound is a basic test and can miss findings. So initially a CT scan abdomen should be done and after that if cholelycystitis is estabilished as diagnosis then go for surgical removal of gallbladder. Follow up with reports of CT scan. Regards!